Locke, Roger Earl
Locke, Roger Earl is an sole proprietor health care provider with primary practice located at 75 Phelan Ave #1, San Jose CA 95112-6120. He recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as his primary health care specialty. Locke, Roger Earl can be contacted via phone (408) 279-3955.Contact Information
Primary practice address
75 Phelan Ave #1
San Jose CA 95112-6120
Phone: (408) 279-3955
Fax: (408) 259-4350
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | SR GH 26792253 | California |
Profile Details
| NPI number | 1386708766 |
|---|---|
| LBN Legal business name | Locke, Roger Earl |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386708766 | NPPES |
| California | Other | SR GH 26792253 | SELLER'S PERMIT |
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